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Permit . CITY OF TIGARD MASTER PERMIT 1 ••• COMMUNITY DEVELOPMENT Permit #: MST2010 00125 TIGARD! 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/20/2010 Parcel: 1S134CD07700 Jurisdiction: Tigard Site address: 11765 SW TIGARD DR Subdivision: Lot: 0 Project: McNinch Project Description: Addition. 11/16/10, adding plumbing to scope of permitted work. 11/19/10: Reprinted to add low voltage for computer cabling; work to be done by owner; see BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 235 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 380 sf Value: $40,523.90 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 2 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/0 Svc /Fdr: 2 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: Y Other Description: Data /telecommunications Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 380 Owner: Contractor: MCNINCH, ALAN ROSE CITY CUSTOM HOMES & REMODELIN Required Items and Reports (Conditions) 11765 SW TIGARD DR PO BOX 66880 TIGARD, OR 97223 PORTLAND, OR 97290 PHONE: 503 -268 -7735 PHONE: 503 -867 -1843 FAX: Total Fees: $2,022.87 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in - .- .- • .- with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ' TENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 601 -0010 through OAR 95 7 11 00 s. , ou may obtain a copy of the rules or direct questions to OUNC • n • 50132.1987 or 1.800.332.2344. sued By: / �� __. _ Permittee Signa • ' -- 6 %; - -- _ Cali 503.639.4175 by 7:00 a.m. for the next available inspecti.. i ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . CITY OF TIGARD MASTER PERMIT P h w " Permit #: MST2010 00125 COMMUNITY DEVELOPMENT Date Issued: 08/20/2010 717:1GAR:D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S134CD07700 Jurisdiction: Tigard Site address: 11765 SW TIGARD DR Subdivision: Lot 0 Project: McNinch Project Description: Addition. 11/16/10, adding plumbing to scope of permitted work. 11/19/10: Reprinted to add low voltage for computer cabling; work to be done by owner; see BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 235 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 380 sf Value: $40,523.90 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Catch Basins: 0 Storm Sewer: 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 2 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 • 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other Y Other Description: Data /telecommunications Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 380 Owner: Contractor: MCNINCH, ALAN ROSE CITY CUSTOM HOMES & REMODELIN Required Items and Reports (Conditions) 11765 SW TIGARD DR PORTLAND, OR 97290 TIGARD, OR 97223 PHONE: 503 -268 -7735 PHONE: 503 - 867 -1843 FAX: Total Fees: $1,922.07 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: '- s r P ermittee Signature: �� • Call 603.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2010 -00125 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/20/2010 Parcel: 1 S134CD07700 Jurisdiction: Tigard Site address: 11765 SW TIGARD DR Subdivision: Lot: 0 Project: McNinch Project Description: Addition. 11/16/10, adding plumbing to scope of permitted work. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 235 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 380 sf Value: $40,523.90 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 2 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr: 2 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 380 Owner: Contractor: MCNINCH, ALAN ROSE CITY CUSTOM HOMES & REMODELIN Required Items and Reports (Conditions) 11765 SW TIGARD DR PORTLAND, OR 97290 TIGARD, OR 97223 PHONE: 503 -268 -7735 PHONE: 503- 867 -1843 FAX: Total Fees: $1,838.07 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or i work is suspended for more the 180 days. ATT • ,. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cente/ Those - les are set forth in OAR 952-001-e110 through O • ' 952 -1 e 10 • • You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 j ' or 1.8! :.3 .2344. Issu :d By: / � �� `�' _; Permittee Signature: / _ _ Call 503.639.4175 by 7:00 a.m. for the next available inspection • : e. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT is COMMUNITY DEVELOPMENT Permit #: MST2010 -00125 T I G A R L� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/20/2010 Parcel: 1S134CD07700 Jurisdiction: Tigard Site address: 11765 SW TIGARD DR Subdivision: Lot: 0 Project: McNinch Project Description: Addition BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First 145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 235 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: sf Value: $40,523.90 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add! 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) MCNINCH, ALAN ROSE CITY CUSTOM HOMES & 11765 SW TIGARD DR REMODELING INC TIGARD, OR 97223 Portland, OR 97290 PHONE: 503 - 268 -7735 PHONE: 503 - 867 -1843 FAX: • Total Fees: $1,639.81 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set • in OAR 952 - 001 -0010 through OA' • 52- 001 -0100. You may pbtaitt : -• • • • _ - • • - • o • 1 ` .y calliri• • 46.6699 or 1.800,332. Issued . ' 'Q -� .✓ _ ' ermitteeSignature: .f - --■liLi M 5- r .20i6— GO � RECEIVED . y Community Development TIGARD Request for Permit Action NOV 2 3 Z010 CITY -D TO: CITY OF TIGARD BU DINNGDIVISION Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 ;kvww.tigard- or.gov FROM ❑ Owner ❑ Applicant Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual a + - thiI A 1 AJ'a Mailing Address: F , b . &$ 2 g City /State /Zip: O (o ( 9 - 110c- Phone No.: d3 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): f] CANCEL PERMIT APPLICATION_ • ❑ REFUND P.RMIT FEES (attach receipt, if available). ICE �-- IJE (attach case fee schedule and explain below). REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Site Address or Parcel #: f ( Project Name: Subdivision Name: Lot #: EXPLANATION: +.,(A Signature: �n�d Date: \k, D Print Name: N\C r t#Vt e� Itainttl'oGey 1. The Director or Building Official may authorise the refund of, a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn orl canceled before any review effort has been expended. c) not more than 80 of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an applicadon is canceled before any plan review effort has been expended. e) not more than 30% of the building permit tee for issued permits prior to any inapectiori requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1-2 weeks for processing refunds. 1 FOR OFFICE USE ONLY Rte to S s Admin_ Date =OM Rte to Bid Adnin: Refund Processed: Dare ,tJ . ,!�rz" B IVIY� �, Invoice Process�d: Date B Permit Canceled: r•' ' Parcel To : Added: Date B Receipt # Date Method Amount $ l:\ Building \Forms \Regpermitrlction.doc Rev 07/26/07 T/T:a 096186S2lS:ol :WOJ, 017:80 OT02- 172-f1ON Building Permit Application q i u I"_4 F v Residential ` ' '. ' i ' r � ti �< � -� IO ROI I I(�I',Util t71�1 Cl of Ti and Q Received n Permit No.: ST -t7 /a.- ev /A � g 2��0 Date/By: 7 O+ /40 .1 ° 13125 S W Hall Blvd., Tigard, OR 97223 JUL J U L 2 Plan Review M�, � p /24 ' C Phone: 503.639.4171 Fax: 503.598.1960 _ Date/By: t ' Y r V p v der Permit: p.. T r Rr Date Ready/By: ruris: ® Se Pa I'I�� \ILI> Inspection Line: 503.639.4175 CITY iia.-7�1i"tl� Page 2 for S Internet: www.tigard-or.gov r c ,. Notified/Method: '' 10 i 7? ., Supplemental Information BUILDING lid / 1� � r ., Figh.)/1 a r14 roork -i.c -- TYPE OF WORK `' • REQUIREDDATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 4, Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION • - work indicated on this application. i gl 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $e ❑ Accessory building ❑ Multi - family Number of bedrooms: ifs, Q 7 S0 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: f t 7 1 S 5 L3 "T t 1 A R'p 7R New dwelling area: 4/5) square feet City /State /ZIP: T\gFl• , O 93 2_2-3 Garage /carport area: square feet Suite/bldg. /apt. no.: 1 Project name: 11-119+j m e- 3 ' C I, Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the :'DESCRIPTION OF .WORK .- work indicated on this application. 1104 Q . A k\ 0 U k 'O 1 �� Valuation: 8 z C 1L¢ c-e_ m A e IC .e . t Close--4- Existing building area: square feet New building area: square feet a PROPERTY OWNER 11 I 0 TENANT Number of stories: Name: law c O'iviC Yv Type of construction: Address: ' 11 I (D 5 S (.J T\ 1 4 2i� `-) -. Occupancy groups: City /State /ZIP , (Z • N e ' q 7 2-2— Existing: Phone: (5b5) Zr::, 8 ) 1 35 Fax: ( ) New: ❑ APPLICANT - ❑ CONTACT PERSON , NOTICE . . Business name: • All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the Cit} /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: • . . • `CONTRACTOR • J Business name: ?o e' C; C..)54}-t • 14 ,-es s / /��Prn e k 7 BUILDING PERMIT FEES* Address: Co 0 �O 5-.. pc, (PleaserejertoJeeschedute) Structural plan review fee (or deposit): City /State /ZIP: r oe.-411011...-t, Q 9 T2. 7 0 Phone: (95) g7 / SYy3 Fax: ( S FLS plan review fee (if applicable): � CCB lic.: �� Z 7 7 � 11-- Fax: y Total fees due upon application: X4.5* Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a y Date: 7_23 — f() * Fee methodology set by Tri -County Building Industry / Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) O Building Permit Application Checklist One -.and Two - Family Dwelling City of Tigard Received Permit No.: " q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical . Internet: www.tigard - or.gov ❑ Other: IIt IL LOW 1 NC,11 F;N I\RE Et) 1) FO z . REA'. 1 E w ; i ts £ \tl \ / t.. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state • ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing . ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore ton and shall be shown to be as S l icable to the a ro'ect under review. '.IUIZISI_5IC 1 IONlAI; SI'I_:C11 ICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I: \Building\Permits\BUP-RES-PermitApp doc 03/21/06 440- 4613T(11 /02/COM/WEB) Plumbing Permit Application RECEIVED Building Fixtures / FOR OFFICE USE ONLY NOV 201 R r/ )- 44o ce p_� Date/By: City of Tigard O Received ve l ( a, /e2 Permit No.: i v 13125 SW Hall Blvd., Tigard, OR 97223 TIGARD Pla Review Phone: 503.639.4171 Fax: 503.598.1960CI� OF Other Permit No.: T 1 G A R D Inspection Line: 503.639.4175 BUILDING DIVISIOPI Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description 1 Qty. I Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath . 312.70 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1 ,-- /6 5- s W 1 1 GA �p Catch basin or area drain 18.76 Dg_ Drywell, leach line, or trench drain 18.76 City /State /ZIP: 116-A 12.10, 0(Z 112-23 Footing drain (no. linear ft.: _ ) Page 2 Suite /bldg. /apt. no.: I Project name: Ac o ITIo'1 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 p_e-►i p i- /A- OPITIoNS Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: AL Q NAcNJiNC Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11 16 SW 116A-( PR- Garbage disposal 25.02 City /State /ZIP: II & AID I OP_ 972_ Z 3 Hose bib 25.02 Phone: ( 503) 26$ - 7735 Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/bas vato g 25.02 f0l}•O City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) /sho er /shower pan L.-. P 12.51 .S 2- - E -mail: 25.02 - Water closet 25.02 CO - al' CONTRACTOR �/l /- Water heater 37.52 Business name: gpej , S i / S / / � do s Water piping/DWV 56.29 Address: ! 5 ^d 3 SC V 9 ✓ t E0*. 5T Aje / Other: 25.02 f f City/State /ZIP: let fti,_� c C .5 / Subtotal /7gj'• l Phone: (l'o ) Z G 7 X5-9 Fax: ( ) Minimum permit fee: $72.50 CCB Lic.: / 7 ? xC/ 3 Plumbing Lic. no.: 97 Plan review (25% of permit fee) � 22 -- State surcharge (12% of permit fee) a & .t 21• Authorized signature: TOTAL PERMIT FEE ( ?9 ,,,ve J J This permit application expires if a permit is not obtained within 180 days Print name: /��,� / / � � Dater J I / after it has been accepted as complete. / / 6 *Fee methodology set by Tri- County Building Industry Service Bard._ • C\ Building \ Permits \PLMU- PermitApp.doc 10/01/09 440- 4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1'' 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Storm &Rain Drain - 1st 100' 62.54 Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to p and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge - 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees*. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub/Shower ❑ New exterior plumbing site utilities for any complex structure Tub /S i/Whirlpool as defined in OAR918- 780 -0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive e Thru ❑ Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial - Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Comments regarding fixture work: Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes p Water Extractor plumbing permit can be issued. Water Closet - Toilet Urinal Other Fixtures: 1: \Building \Permits \PLMF- PermitApp.doc 2 Mechanical Permit A lication FOR oF FTC E USE ONLY IN CI of Ti and C Received 9 ` 1 g r-/�A �� DateBy: f2 7 / / ♦ 9 Permit No.: J - , • i ! . ° 13125 SW Hall Blvd., Tigard, OR 97223 = ` Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DEC 9 Date/By: Permit: T 1 G A R D Inspection Line: 503.639 1 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard or.gov CITY Notified Method: Supplemental Information G ARI9 BUIIDI NGO NISIO OF TI N COMMERCIAL FEE* SCHEDULE — USE CHECKLIST TYPE OF WOR Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. 111 Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: / / i (mil/ J ) G S S , ,,50, ` (` / / ) (requires site plan showing placement) 46.75 �y Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: ! 7 D. -3 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 ? 5 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ P OPERTY OWNER ) ❑ TENANT Chimney /liner /flue /vent 23.32 / Other: 23.32 Name: / / ✓l f t7 , , e n, it c 7..„ Environmental exhaust and ventilation: ` i Range hood/other kitchen Address: / / C 5 S 11i i 9‘J, 9` equipment 33.39 City /State /ZIP: I r / c.,(,„.4 oA 9 7,) 3 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: V ) 426 -' 3 5 , Fax: ( ) toilet compartments, utility rooms) o ok, 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Other: 23.32 Fuel piping: Contact name: $14.15 for first four; 54.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range • CONTRACTOR Barbecue Business name-TWIT C_L� e , e &s,--„� 14,Ne5 Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal * Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) �' Plan review (25% of permit fee) CCB lic.: !g9, 87 7 State surcharge (12% of permit fee) /0, TOTAL PERMIT FEE /AO £ $® This permit application expires if a permit is not obtained within 180 Authorized signature: / - -- days after it has been accepted as complete. Print name: /Re . // / / - ." - r• Date: / )7/0/10 * Fee methodology set by Tri- County Building Industry Service Board B \ \ I:\ uildingPermitsMEC- PermitApp. doc 09/0 440 -4617T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building \Permits\MEC - PermitApp.doc 09/09/10 2 Electrical Permit Application I (11�. <11 I I( I 1,,1 cl REC��VE�J I , ;T Received City of Tigard Date/ 7/ g to Permit No.: ' Sy a 0 /O — r 2C /,Z ® 13125 SW Hall Blvd., Tigard, OR 97223 pp Plan Review n ..'.. Phone: 503.639.4171 Fax: 503.598.1960\ Li G 1 9 2010 DateB : Other Permit: - ; 1 1 .'1' t \'1(.1). Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for .,.. Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF kikila1l+Jl.a DIV1JIU1V PLAN REVIEW • ❑ New construction g Addition/alteration /replacement Please check all that apply (submit a sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1- anr'2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "l - ", "l - ", Job no.: Job site address: J �) ' 100HP or more. occupancy. �( ��V / r � 0 Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: �fi / !s --- ,ttt�� D� 7 "� ❑ Health -care facilities. ❑ Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: J Project name: in r I Mee / ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map/parcel no.: Ea. add'1500 sq. ft. or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 IV/) 2 C /o €/ f ( 4/ / 1.- L ? /,,,,,, „ residential (with above sq. ft.) J r / Services or feeders installation, alteration, and/or relocation 200 amps or Tess 100.70 2 ❑ PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2 Name: ,lA /qn /VC/Vine: 401 amps to 600 amps 200.34 2 l 601 amps to 1,000 amps 301.04 2 Address: � f 7 f�-- 5 /”" ✓ ✓✓ ,t J / , 4 fi€ Over 1,000 amps or volts 552.26 2 " Temporary services or feeders installation, alteration, and /or City/State /ZIP: f��'�7 9 2 Z relocation Phone: 0:5' ) a 269 773 Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or ex tension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 ty dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR /� y/ 7 Signal circuit(s) or limited- energy Business name: /. — / ' �CC G�� S panel, alteration, or extension. Page 2 2 ,, ma Each additional inspection over allowable in any of the above , Address: { r 0 , W sk ig�3 Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: l J.. �n (. ter A / 0L- 9 7 0 Cl s Investigation (1 hr min) 66.25/ hr / ! Industrial plant (1 hr min) 78.18 / hr Phone: (517 7 S) -7 3 ._o3 7 l I Fax: (S 33) , ' 5 4� - 4/-3 7 Inspections for which no fee is 90.00 / hr specifically listed (%r hr min) CCB Lic.: /68 it 1 1 Electrical Lic.: G _ i Z (a 1 Suprv. Lic.: / 575:3 — 5 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 4'..e.#1..fre ,�ti i Plan review (25% of permit fee): Print name: G 0,2 4 Date: ' N i _ D State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 D �j days after it has been accepted as complete. Print name: / � r i ` /� g/. Num of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 07/01110 440- 4615T(11/05/COM/WEB --'\ O AUg, 9. 5 : 52 PM 445 STORE 0445 No, 0247 IP. 2 02/02 RECI . o I_ D r - - AUG . 9 2.010 ! C lears Uttar Services Filo Number 11 CITY O TIGARD AUG 0 5 2010 C1eanWater Serviceli I [ ' bOFF i BUILDIN DIVISIJ Sensit" , rea Pro- Screening Site Assessment BY .--- • er 1. Jurisdict • n:• t s ' ■ / , �� •, 2, Property Information (example 1S234Ak01400) 3. Owner Info atlon Tax lot ID(s) ;, .LS 1,3 /2 77o2 Name; Lti- 'it'l4ah _ Company; Address: -, 5 5 I i z.. 'ti f a ' ..— Site Address: 5 2 _,Ifii�O be- City, Steal ZIp'7' 1 -I) _ 3 7 -z-3 Cit state. zip: 7t5+/ 2l) 04 172.x'5 _ PhonetFa >: ,57.) 44 .s 7 7 35 Nearest Cross $trot: _ . E -Mail; ^ _ 4. Development Activity (chOOk ell lhot6pp1y) 5. Applicant Information .._. g Addition to Single Family Residence (rooms, deck, garage) Name: ,5TtPhi^ I LI Lot Line Adjustment ❑ Minor Land Partition Company: l a CAI c,I 6 t10.1.A.t ❑ Reeldential Condominium ❑ Commercial Condominium Addreel3: 1; i �X ro� U L �� ❑ Residential Subdivision [] Commercial Subdivision City, State. Zip: ?r 7 riv q' e' ? 7 24/4) 7 ❑ Single Lot Commercial ❑ Multi Lot Commercial Other phone/Fa y• 50 4, _ _ 5. Will the project Involve any 0ff -cite work? ❑ Yes A No ❑ Unknown Location and description of off -site work - 7. Additional oommonta or information that may be needed to understand your project _ This application does NOT replace Grading and Erosion Control Permits, Connection Permit,;, Building Permits, Site Development Permits, DEQ 1200.0 Permit or other parmtte as issued by the Department of Environmental Quality, Depot ment of State lands andfor Department of the Army COE, All required permits and approvals must be obtained and completed under applicable legal, state, and federal lam By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and a.tieea that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of Inspecting project site conditions and gathering Information related to the project site. I certify that) em familiar with the information contained in this document, and to the beat of my knowledge end belief, this information Is lria, complete, and accurate. Print/Type Na a //.. d „ �_.+r Alb / Printfrype M e _ ft �'2 • Signature Date 72J5 FOR D USE ONLY • ❑ Sensitive areas potentially exist on site or within 200 of the site.' THE APPUCANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent pmpettles, a Natural Resources Assessment Report may also be required. J Based on review of the submitted materials and best available information Sensitive areas do n v. appear to exist en site or within 200 of the site. This Sensitive Area Pre- Screening Site Assessment does NOT eliminate the need to evaluate and piled water quality sensitive area If they are subsequently discovered. Thte document will serve as your Service Provider letter as required by Resolution laid Order 07.20, Section 3.02.1. All required permits and • approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best availablo information the above referenced lxoject will not elgntfloantly impel the existing or potentially . sensitive area(s) found near the site. This Sensitive Area Pre- Soteenlsg SIteAssessment does NOT eliminate the need to evaluate and protect addlOenal water • - quality sensitive areas if They are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07.20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ This Service Provider Letter le not valid unitise CWS approved site plan(e) are attached, ❑ The proposed activity dons not meet the definition of development or 111e lot was platted after 919195 ORS 92.040(2), NO SITE ASSESSMENT OR - SERVICE PROVIDER LETTE IS REQUIRE.. , • . Reviewed by 4 _. Date i • 2 3Vi' I-h11 }iorri I -11 .11 ,J Fill. hgru wn qi i I t - Phone' nne,' ( v81 -;100 - ,c Y (i;p'') , all •143r) n.;r:'1 2i; S:orq • k ' f,S4C6'b L- . . Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11765 SW TIGARD DR, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2010-00125 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11765 SW TIGARD DR, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2010-00125 Chip Barnett Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11765 SW TIGARD DR, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2010-00125 Chip Barnett Violation Summary: Inspector Contractor